Booking Form -

Burma-Thailand Railway Pilgrimage

Please complete the form below. If you have any queries, email hwt@historicwartours.com.au .

Person (Primary) #1

First, Middle & Last Name as per Passport

Mobile Number

Date of Birth

Address

Post Code

State

Person #2

First, Middle & Last Name as per Passport

Date of Birth

Person #3

First, Middle & Last Name as per Passport

Date of Birth

Person #4

First, Middle & Last Name as per Passport

Date of Birth